FDA Adverse Event
Injury
Summary report: N
ORTHOVISC INJ
MDR report key: 8569383
·
Received April 30, 2019
Report
- Report Number
- MW5086306
- Event Type
- Injury
- Date Received
- April 30, 2019
- Date of Event
- April 24, 2019
- Report Date
- April 24, 2019
- Manufacturer
- ANIKA THERAPEUTICS INC.
- Product Code
- MOZ
- UDI-DI
- 59676036001
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PHARMACIST
Narratives
Description of Event or Problem · 1
ORTHOVISC WAS PRESCRIBED FOR OSTEOARTHRITIS TO BE INJECTED INTO THE LEFT SHOULDER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 358706 | ORTHOVISC INJ | ACID, HYALURONIC INTRAVASCULAR | MOZ | ANIKA THERAPEUTICS INC. | 59676036001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR |